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患者男性,14岁。因双耳流脓10余年,症状加剧伴耳痛、头痛、畏寒发热2天入院。体检:T39.1℃.右外耳道有少量粘脓性分泌物,鼓膜紧张部穿孔,鼓室内有胆脂瘤皮屑;左耳外耳道内粘脓性分泌物多、臭,鼓膜大穿孔约0.6×0.6cm,鼓室内有胆脂瘤样皮屑,乳突部触痛明显.实验室检查:WBC18.5×10~9/L.N82%.乳突部X线检查示双耳乳突鼓窦区约1×1cm的骨质破坏腔,周围有硬化圈,入院后第2天行左乳突凿开术。术中见筛区明显充血、易渗血.鼓窦内有脓液,量约5ml(培养为变形
Patient male, 14 years old. Pus for more than 10 years due to both ears, symptoms aggravated with earache, headache, chills and fever 2 days admitted. Physical examination: T39.1 ° C. The right external auditory canal has a small amount of purulent secretions, perforation of tympanic membrane tension Department, tympanic cavity of cholesteatoma in the tympanic cavity; purulent secretions in the left ear and external auditory meatus, 0.6cm, cholecystokinin-like dander in the tympanic cavity, tenderness of the papillae was obvious Laboratory tests: WBC18.5 × 10 ~ 9 / L.N82% District about 1 × 1cm bone destruction chamber, surrounded by hardening ring, the first 2 days after admission line left mastoid hematoma surgery. Surgery, see the sieve area was hyperemia, easy bleeding, there is pus sinusitis, the amount of about 5ml (culture is deformed